One Time Credit Card Payment Authorization Form

By selecting one of the payment links below and submitting your details you give El Paso Cosmetic Surgery Center permission to make a one time debit to your credit card. You give us permission to debit your account for the amount that we have indicated to you on or after the indicated date. This is permission for a single transaction only, and does not provide authorization for any additional unrelated debits or credits to your account.

Please Click The Relevant Location Button Below To Access Our Secure Payment Area